| NPI | 1952596348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2025-05-13 |